School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Allied Health, Peninsula Health, Frankston, Victoria, Australia.
J Foot Ankle Res. 2024 Jun;17(2):e12003. doi: 10.1002/jfa2.12003.
Burnout is highly prevalent among health practitioners. It negatively impacts job performance, patient care, career retention and psychological well-being. This study aimed to identify factors associated with burnout among Australian podiatrists.
Data were collected from registered podiatrists via four online surveys administered annually from 2017 to 2020 as part of the Podiatrists in Australia: Investigating Graduate Employment (PAIGE) study. Information was collected about work history, job preferences, personal characteristics, health, personality, life experiences and risk-taking behaviours. Multiple logistic regression analyses were used to determine if (i) individual characteristics, (ii) workplace factors and (iii) job satisfaction measures were associated with burnout (based on the abbreviated Maslach Burnout Inventory).
A total of 848 responses were included, with 268 podiatrists (31.6%) experiencing burnout. Participants experiencing burnout were slightly younger, more recent to practice, had poorer health, greater mental distress, lower scores for resilience, extraversion, agreeableness, conscientiousness, emotional stability and openness to experiences. They were less likely to have financial and clinical risk-taking behaviour and more likely to have career risk-taking behaviour. Prediction accuracy of these individual characteristic variables for burnout was 72.4%. Participants experiencing burnout were also more likely to work in private practice, have more work locations, work more hours, more direct patient hours, see more patients, have shorter consultation times, more likely to bulk bill chronic disease management plans, have less access to sick leave and professional development and be more likely to intend to leave patient care and the profession within 5 years than participants not experiencing burnout. Prediction accuracy of these workplace-related variables for burnout was 67.1%. Participants experiencing burnout were less satisfied with their job. Prediction accuracy of these variables for burnout was 78.8%.
Many of the factors associated with burnout in Australian podiatrists are modifiable, providing opportunities to implement targeted prevention strategies. The strength of association of these factors indicates high potential for strategies to be successful.
burnout 在医疗从业者中非常普遍。它会对工作表现、患者护理、职业保留和心理健康产生负面影响。本研究旨在确定与澳大利亚足病医生 burnout 相关的因素。
数据来自 2017 年至 2020 年期间通过四项在线调查从注册足病医生处收集，这些调查是作为澳大利亚足病医生：调查就业情况（PAIGE）研究的一部分进行的。收集了有关工作经历、工作偏好、个人特征、健康、个性、生活经历和冒险行为的信息。使用多变量逻辑回归分析来确定（i）个体特征、（ii）工作场所因素和（iii）工作满意度测量是否与 burnout 相关（基于缩写的 Maslach 倦怠量表）。
共纳入 848 份回复，其中 268 名足病医生（31.6%）经历了 burnout。经历 burnout 的参与者年龄稍小，从业时间较短，健康状况较差，精神困扰较大，韧性、外向性、宜人性、尽责性、情绪稳定性和开放性得分较低。他们不太可能有财务和临床冒险行为，更有可能有职业冒险行为。这些个体特征变量预测 burnout 的准确性为 72.4%。经历 burnout 的参与者也更有可能在私人诊所工作，有更多的工作地点，工作时间更长，直接看病人的时间更长，看病人更多，咨询时间更短，更有可能为慢性病管理计划批量计费，获得病假和专业发展的机会更少，并且更有可能在 5 年内打算离开患者护理和专业。这些与工作场所相关的变量预测 burnout 的准确性为 67.1%。经历 burnout 的参与者对工作的满意度较低。这些变量预测 burnout 的准确性为 78.8%。
与澳大利亚足病医生 burnout 相关的许多因素都是可以改变的，这为实施有针对性的预防策略提供了机会。这些因素的关联强度表明策略有很高的成功潜力。
